Salpingo ndi mimba: ndi zotsatira zake? Salpingo - ndichiyani? Salpingo: chithandizo

M'zaka zaposachedwapa, kugonana fairer ochuluka anakumana ndi matenda osiyanasiyana a dera kugonana. Mmodzi wa matenda zambiri zikuchitika ndi kutupa kwa zokhudzana la chiberekero. Mkazi aliyense ayenera kudziwa mmene chimaposa salpingo icho chiri, zizindikiro ndi zotsatira za matendawa. Tiyeni tiyese kupeza mwatsatanetsatane nkhani imeneyi.

Salpingo: ndichiyani?

Choyamba, tiyeni tinene kuti salpingo (wochedwanso adnexitis) amatanthauza kutupa kwa chiberekero mazira. Mu ambiri milandu ziwalo zimenezi n'zogwirizana ndipo mwachindunji yozungulira Chrixitu. Madokotala kusiyanitsa mitundu itatu ya kudwala: pachimake kutupa; subacute mawonekedwe a matenda; hr. salpingo.

Komanso, pali gulu la matenda, chimene chimadalira pa malo panali kutupa. Pali subtypes zotsatirazi: aakulu amgwirizano salpingo; leftside kutupa; amaganiza salpingo.

Zimayambitsa ndondomeko yotupa

Nthawi zambiri, ndi causative wothandizira wa matenda ndi tizilombo. Iwo akhoza kukhala okonzekera ngati kukhudzana mosadziteteza ndi bwenzi zosatsimikiza kapena kudzera m'zinthu banja chisamaliro ndi. Ambiri tizilombo zopweteka zimene ali causative nthumwi za matenda zotsatirazi: staphylococci ndi streptococci, gonococci ndi E. coli ndi mabakiteriya ena.

Komanso, pachimake oophoritis bwino zimayamba ndi matenda amene alipo mu thupi. Chifukwa chofooka mabakiteriya chitetezo cha m'thupi kusuntha momasuka kudzera m'magazi ndi akhoza kukhala mu malo aliwonse yabwino iwo limba. Ndi kuwaganizira matenda monga sinusitis ndi sinusitis, zilonda zapakhosi, kutupa matumbo. Mu chochitika cha peritonitis zambiri kukhala pachimake salpingo.

Zizindikiro za matendawa

Malinga lomwe mawonekedwe a matenda alipo mwa mkazi amatha kukhala ndi zizindikiro zosiyanasiyana za matenda.

Mawonekedwe pachimake

Pankhaniyi, mkaziyo anadandaula malungo aakulu (kwa madigiri 39). Komanso, wodwala amakhala kufooka ambiri ndi malaise. Pamene kufala kwa matenda m'dera la minofu uterine zingaoneke mafinya kuchokera thirakiti maliseche.

A mayi ndi matenda a "pachimake salpingo-kumbali" encircling ululu pamimba m'munsi akhonza kupatsidwa mu m'munsi kapena mwendo. Komanso, mawonekedwe a matenda amakhala ndi zosasangalatsa kukanikiza kutengeka panthawi yogonana.

Ngati kugonana chilungamo sali mu nthawi kuwona dotolo ndi kupeza chithandizo choyenera, kutupa kwa zokhudzana mu masabata angapo kudzalimbikitsa mu gawo lina lotsatira - subacute salpingo.

mawonekedwe subacute

Pa nthawi imeneyi, mayi akupitiriza kumva ululu mu gawo m'munsi m'mimba. Thupi kutentha pang'ono ndi pang'ono adatchithisira nufikira zosiyanasiyana zachilendo, kotero dona yaitali nkhawa. Pa nthawi imeneyi, mkazi ayamba kuganiza kuti wakhala zambiri mosavuta, ndipo anapata magulu ake matenda. Komabe, si zoona kotero. The chamoyo ndi kugonana fairer ikutha kulimbana kutupa ndi amatenga tizilombo toyambitsa matenda monga kale bwino kwa iye.

Subacute mawonekedwe a kutupa pano mwachilungamo yaitali. Iye mwamsanga amakhala oophoritis aakulu. Kodi izo ndi zimene zizindikiro ali mtundu uwu matenda?

Mawonekedwe aakulu

Pa nthawi imeneyi, mayi asaone pang'ono kapena palibe nkhawa. Malungo, amagwirizana ndi kutupa zokhudzana ndi, salinso anati. ululu pang'ono angaoneke ndi kutha paokha. Monga chothandiza Akazi zambiri ntchito mankhwala othetsa ululu ochiritsira, koma ndi kulakwa.

Mankhwalawa nthawi yayitali anachedwa matenda, m'pamenenso kungakhale zotsatira zake. Mu aakulu siteji unilateral kapena amgwirizano salpingo zowonetseredwa ndi zizindikiro zotsatirazi: ululu kobwereza pamimba m'munsi, zoipa pa kumaliseche a msambo amadziwikanso yafupika libido, amaona akazi kuti mwezi chachuluka ndi kubwera apo.

exacerbation

Exacerbation wa salpingoophoritis aakulu angayambe ndi kuchepa pang'ono chitetezo chokwanira kapena pambuyo kukhudzana amphamvu. Pankhaniyi, mkazi akhoza kukondwerera zizindikiro zomwezo onse, amene ali fomu pachimake cha matenda, koma pamodzi ndi zizindikiro za kutupa aakulu.

Zina mwa zifukwa

Choncho, ena mfundo za matenda monga salpingo (zimene zili ngati pali matenda, chimene zizindikiro zikayamba) mukudziwa kale. Musaganize kuti ngati muli ndi matenda, ndi zedi kukhala ndi kutupa zokhudzana ndi. Amene ali pa chiopsezo ndi pachiopsezo chakuti pali salpingo matenda?

Nthawi zambiri matendawa amakhudza akazi akabereka kapena kutaya mimba (ngati matenda pa ndondomeko), pamene supercooling amapezeka kapena pafupipafupi mavuto. Komanso, kutupa angayambe kugonana fairer, akudwala kudzimbidwa kapena kutupa ziwalo moyandikana wa zonse m'mimba.

matenda a matenda

Paokha anapereka nokha ngati matenda kuli kovuta. Nthawi zambiri, kafukufuku mtima ikuchitika mu magawo angapo. Tiyeni tione iwo mwatsatanetsatane.

The kafukufuku ndi kuyankhulana

Pamene kuimbira dokotala ndi pafupifupi nthawi zonse wodwala akuthamanga ndi kafukufuku. dokotala wapeza kunja yaitali bwanji akumusokoneza zizindikiro monga zowonetseredwa ndi khalidwe lawo. Monga katswiri, chonde mwachindunji ngati kubadwa mkazi kapena kutaya mimba, mmene abwenzi ambiri kugonana iye anali. Muyenera kudziwa ngati kale kuzindikiridwa matenda aliwonse maliseche thirakiti, ndipo ngati iwo ankapatsidwa. Dokotala wina analemba kuti deta onse khadi wodwalayo munthu, kenako akupitiriza anayendera Buku.

Anayendera pa mpando matenda

Zizindikiro woonekeratu salpingoophoritis anasonyeza ululu pa anayendera Buku. dokotala mosamala probes m'dera la chiberekero ndi zokhudzana, anati malo awo. Pa kusamutsidwa matupi kumachitika kukayikitsa adhesions mu mafupa a chiuno ndi, yemwe ali mmodzi wa mavuto yotupa.

kafukufuku zasayansi

Ndikatha kumfunsafunsa matenda ikuchitika mpanda mfundo kusanthula. Nthawi zambiri, madokotala tikambirane kumaliseche ukazi, imene tizilombo toyambitsa matenda akhoza wapezeka.

phunziro analimbikitsanso kuti magazi. Malinga ndi kuchuluka kwa maselo oyera ndi maselo ofiira dokotala amadziwa ngati pali yotupa ndondomeko mu thupi la wodwalayo.

matenda ultrasound

Nthawi zambiri akuchuluka salpingoophoritis anapezeka pa kuona mwa ultrasound. Nthawi zina, matenda amakhala uthenga zosayembekezeka akazi. Pankhaniyi, katswiri kuwona pa zenera ziwalo zonse za mkati mwa mtima. Pamene kudwala bwino anawona kuvutika chiberekero. Komanso pa ultrasound Kupenda dokotala taonera kuwonjezeka mu kukula kwa thumba losunga mazira ndi kapisozi awo zolimba. Komanso, kusamuka kwa ziwalo m'chiuno wachibale wina ndi mzake angathe kuonedwa. Izi zikusonyeza mkhalidwe kunyalanyaza ndi kutupa aakulu.

laparoscopy

Ngati kafukufuku si kokwanira, adnexitis (oophoritis) amawapeza pa laparoscopy. Pankhaniyi, dokotala amaika m'mimba manipulators wodwalayo angapo ang'onoang'ono amene amaona zonse zimene zimachitika mkati pamimba, pa nsalu yotchinga chachikulu. Mwa njira yomweyo angathe kuchitikira chithandizo imodzi, ngati chofunika alowererepo pa opaleshoni.

Mankhwala a kutupa zokhudzana ndi

Malinga ndi zimene ali ndi zizindikiro salpingo, ndi mankhwala ayenera kukhala zoyenera. Pambuyo bwinobwino ndi matenda dokotala anapereka wodwalayo ya miyeso kuthetsa kutupa. Mawonekedwe pachimake cha matenda pafupifupi nthawi zonse kudzudzulidwa kuyang'aniridwa pafupi akatswiri. Kuti tichite zimenezi, mkazi anatumiza kuchipatala. Aakulu kutupa tiyenera tikonze kunyumba, koma mu nkhani iyi muyenera kutsatira malangizo onse a dokotala anu.

ndiwofatsa kudzudzulidwa

Ngati mkazi ali ndi salpingo pachimake, zizindikiro ndi mankhwala adzakhala kudalira mwachindunji. Therapy ayenera idzachitika yomweyo, pamene zizindikiro zazikulu ndi silinathe, ndi matenda si wadutsa mu mawonekedwe subacute.

Nthawi zambiri, pachimake kutupa atazikocheza mankhwala antibacterial. Pamaso uphunguwo n'kofunika kwambiri kuti phunziro pa kudziwa mankhwala. Pambuyo apeze kusanthula chifukwa dokotala anapereka kukonzekera angapo, mwachitsanzo, jakisoni "Gentamycin" miyala "Vilprofen" mankhwala "amoxicillin" limatanthauza "Naksodzhin" ndi ena.

Komanso ndikofunikira kugwira co-vitamini mankhwala kuwonjezera kukana matenda. Zikatero, mankhwala mankhwala zotsatirazi: tincture wa Echinacea, vitamini B ndi C, komanso zowonjezera zovuta mchere.

Pambuyo kuwukonza akulimbikitsidwa kudya mabakiteriya zothandiza kuti kubwezeretsa microflora, ndi ufa ntchito imeneyi "Bifidkmbakterin" ndi "Lactobacterin", "Lineks" mapiritsi, makapisozi "Atsipol", gel kapena kandulo "Vagilak".

Ngati panali aggravation, izo ayenera kuchitira mankhwala ake. Matenda salpingo zambiri kukula pambuyo nkhawa ndi hypothermia. N'chifukwa chake, kuwonjezera mankhwala yakuti m'pofunika kutenga mankhwala Mapale "tenoten" akutsikira "Knott" madzi "Novopassit" ndi kuvala mwansangala mu nyengo yozizira.

chithandizo opaleshoni

Ngati mkazi ali ndi njira zotsogola kwambiri za ndondomeko yotupa, zikuoneka iye adzafunika opaleshoni. Ngati wapezeka mu m'mimba adhesions, chimene chinapangitsa salpingo, zizindikiro ndi chithandizo ndi zoyenerera. Monga zophuka ang'onoang'ono machubu mazira angathe kuonedwa pa nthawi ya matenda. Iwo amaoneka ngati matumba yaing'ono imene mafinya amasonkhana. Chophukacho m'thumba amenewa zikhoza kutupa ndi peritonitis ziwalo pafupi. Choncho n'kofunika nthawi kuchotsa formations izi.

Nthawi zambiri, opaleshoni imagwiridwa laparoscopically. zingakhale matenda zina, koma kenako kupita ndondomeko mankhwala. The wodwala kutumikiridwa mu mkhalidwe ochititsa dzanzi ndi ntchito manipulators kuchotsa zophuka dissect adhesions, kubwerera matupi malo ake mwachizolowezi. Komanso afufuze za Ukalawu ndi pulasitiki akhoza ikuchitika ngati n'koyenera.

mankhwala wowonjezera

Ngati mkazi anapeza aakulu salpingo, zizindikiro ndi mankhwala omwe Takambirana kale, chithandizocho angathe kuchitidwa ndi njira zina. Nthawi zambiri, kugonana chilungamo ndi matenda otere anatuma matope kusamba kapena tampons. bwino kuthetsa yotupa ndondomeko ya osambira radon. Iwo akhoza kupatsidwa physiotherapy, ultrasound ndi mafunde maginito. Zikomo kuti zinthu zimenezi adhesions mu zonse m'mimba kapena suspend chitukuko zimachokeradi. Tikumbukenso kuti zotsatira za siteji mankhwala a matendawa amakhudza.

Salpingo ndi mimba (zotsatira zake)

Chimodzi mwa zotsatira chachikulu cha matenda ndi kulephera pakati mwana paokha. Ukalawu ndi tsitsi yaing'ono (fimbriae) alipo lonse. Ndi iwo, pambuyo ovulation ndi umuna thandizo kusuntha dzira kuti chiberekero. Zitapita "zala" m'mnyewa wamtima kutupa kukakamirana pamodzi n'kusiya ntchito.

Iwo zingachitikenso mapangidwe adhesions, izi zimakhudza chiberekero ndiponso kupewa khungu yaikazi ufulu kusuntha iwo. Chimodzi mwa mavuto zambiri mimba ndi ectopic. maselo amuna kwambiri moti mosavuta mkatikati plenochki izi, koma dzira kale sangathe ukutsika mu chiberekero ndi amamangirira mpanda wa mazira chubu.

Komanso, pakalibe mimba pa matenda amenewa chifukwa chakuti thumba losunga mazira ndi kwambiri makutu. Nthawi zina, kukula follicular kubweza ndi kugwira dzira mmene munthu amapita. Ngati ovulation kwachitika, ndi corpus luteum, anapanga pa malo follicle; akugwira ntchito yoipa limatulutsa pang'ono wa timadzi, amene ndi ofunikira mimba.

Kodi kutenga mimba ndi salpinooforite?

akazi ambiri amafunsa kuti, "Ngati matenda" aakulu salpingo "n'zotheka kutenga mimba?" Akuti isanafike akukonzekera kufunika mwana kuchita bwinobwino ndi mankhwala. Choyamba tiyenera kupeza chimene chinali chifukwa cha ndondomeko yotupa, ndi kuthetsa tizilombo toyambitsa matenda. Pambuyo kuti muyenera chitetezo cha m'thupi mwanu ndi kubwezeretsa microflora.

Pamaso pa adhesions n'kofunika kudziwa udindo wa Ukalawu. Kuchita Imachitika hysterosalpingography (metrosalpingography). Pansi chipangizo ultrasound kapena ndi x-ray makina dokotala amaika catheter m'chiberekero cha mayi, womwe umayenda kusiyana madzi. M'mikhalidwe wabwinobwino ayenera kutuluka mu zonse m'mimba. Izo ziwoneka pa polojekiti ultrasound kapena x-ray. Ngati Ukalawu ndi kuwoloka, ndiye alowererepo opaleshoni m'pofunika kuti abwezeretse ntchito zawo.

Akuti ngakhale pambuyo zimenezi mwayi kuti mimbayo ndi laling'ono kwambiri. Nthawi zina, mabanja patapita zaka kufuna zinalephereka amachita ubwamuna m'thupi mwake. Pankhaniyi, pakati chikuchitika kunja kwa thupi la mkaziyo. Kenako woimirira wa kugonana ofooka Ndisanaumbidwe m'mimba akukhala, kukonzekera kuphatikana. Koma ngakhale mu nkhani iyi sikutheka akutsimikizira kuti mimba kukhazikitsa.

Ngati kuonongeka fimbriae koposa zonse, opaleshoni Sindizakubweretsanso mphamvu iliyonse pa Ukalawu. Bwezerani izi tosaoneka "zala" sangathe. Mwina zaka zingapo, mankhwala adzabwera zotsogola, ndipo akatswiri adzapeza njira mmene kubwezeretsa losapesa fimbriae wa Ukalawu. Komabe, pa nthawiyo palibe njira. Choncho n'kofunika kuti aziona thanzi la kachitidwe kawo ubereki.

Pomaliza

Dziwani kuti mankhwala yake ya m'chiberekero ali ndi madokotala ananena zawo mwachilungamo wabwino. akazi ambiri, mu nthawi kuwona katswiri thandizo bwinobwino mimba ndi kubereka ana. Ndicho chifukwa chake ndi chofunika pa mawonetseredwe woyamba wa matenda kukhulupirira madokotala odziwa.

Zizindikiro zoyambirira za salpingoophoritis pachimake zofanana kwambiri ndi zizindikiro za mimba ectopic, cysts yamchiberekero kapena enaake owononga, komanso kutupa zakumapeto ndi peritonitis. Mwina sanabwere kuchokera banal kutupa, koma kudwala kwambiri, ndipo tingayambe imfa. Osachikoka pa ulendo kwa dokotala. Pemphani thandizo pa nthawi ndi kukhala wathanzi!